Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $243.43 / $3,415.84	Facility		$53.08	$243.43	$3,415.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $55.73 / $104.03	Professional		$53.07	$55.73	$104.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $82.62 / $124.67	Professional		$72.59	$82.62	$124.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Facility		$45.90	$45.90	$45.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Professional		$45.90	$45.90	$45.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $63.70 / $77.26	Professional		$45.12	$63.70	$77.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $53.28 / $94.25	Facility		$41.96	$53.28	$94.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Professional		$58.00	$58.00	$58.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $51.30 / $67.94	Facility		$48.06	$51.30	$67.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $51.30 / $67.94	Professional		$48.06	$51.30	$67.94
United Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $53.08 / $54.00	Professional		$52.22	$53.08	$54.00